Abstract | OBJECTIVES: The objective of this study was to evaluate the efficacy of transcutaneous electrical posterior tibial nerve stimulation in treatment of patients with chronic anal fissure and to compare it with the conventional lateral internal sphincterotomy. PATIENTS AND METHODS: Consecutive patients with chronic anal fissure were randomly allocated into two treatment groups: transcutaneous electrical posterior tibial nerve stimulation group and lateral internal sphincterotomy group. The primary outcome measures were number of patients with clinical improvement and healed fissure. Secondary outcome measures were complications, VAS pain scores, Wexner's constipation and Peascatori anal incontinence scores, anorectal manometry, and quality of life index. RESULTS: CONCLUSION: Transcutaneous electrical posterior tibial nerve stimulation for treatment of chronic anal fissure is a novel, non-invasive procedure and has no complications. However, given the higher rate of clinical improvement and fissure healing and the lower rate of fissure recurrence, lateral internal sphincterotomy remains the gold standard for treating chronic anal fissure.
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Authors | Tamer Youssef, Mohamed Youssef, Waleed Thabet, Ahmed Lotfy, Reham Shaat, Eman Abd-Elrazek, Mohamed Farid |
Journal | International journal of surgery (London, England)
(Int J Surg)
Vol. 22
Pg. 143-8
(Oct 2015)
ISSN: 1743-9159 [Electronic] England |
PMID | 26316154
(Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
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Copyright | Copyright © 2015 IJS Publishing Group Limited. Published by Elsevier Ltd. All rights reserved. |
Topics |
- Adult
- Aged
- Anal Canal
(physiopathology, surgery)
- Chronic Disease
- Constipation
(etiology)
- Digestive System Surgical Procedures
(methods)
- Fecal Incontinence
(etiology)
- Female
- Fissure in Ano
(complications, surgery, therapy)
- Humans
- Male
- Middle Aged
- Pressure
- Prospective Studies
- Quality of Life
- Recurrence
- Tibial Nerve
- Transcutaneous Electric Nerve Stimulation
(methods)
- Treatment Outcome
- Wound Healing
- Young Adult
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